| NPI | 1164274254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 793239) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 793239) |
| 163WS0200X Registered Nurse School (Licence: NY 793239) | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |